CovidStanfordV1, Main, Exploration, bibRecord, 000339

Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems.

Identifieur interne : 000339 ( Main/Exploration ); précédent : 000338; suivant : 000340

Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems.

Auteurs : Stacie Vilendrer [États-Unis] ; Birju Patel [États-Unis] ; Whitney Chadwick ; Michael Hwa [États-Unis] ; Steven Asch [États-Unis] ; Natalie Pageler ; Rajiv Ramdeo [États-Unis] ; Erika A. Saliba-Gustafsson [États-Unis] ; Philip Strong [États-Unis] ; Christopher Sharp [États-Unis]

Source :

Journal of the American Medical Informatics Association : JAMIA [ 1527-974X ] ; 2020.

RBID : pubmed:32495830

Descripteurs français

English descriptors

KwdEn :
- Academic Medical Centers (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), California (MeSH), Computers, Handheld (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (therapy), Coronavirus Infections (transmission), Hospitals, County (MeSH), Hospitals, Pediatric (MeSH), Humans (MeSH), Infectious Disease Transmission, Patient-to-Professional (prevention & control), Inpatients (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (therapy), Pneumonia, Viral (transmission), SARS-CoV-2 (MeSH), Safety-net Providers (MeSH), Teaching Rounds (MeSH), Telemedicine (MeSH).
MESH :
- geographic : California.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Infectious Disease Transmission, Patient-to-Professional.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Academic Medical Centers, Betacoronavirus, COVID-19, Computers, Handheld, Hospitals, County, Hospitals, Pediatric, Humans, Inpatients, Pandemics, SARS-CoV-2, Safety-net Providers, Teaching Rounds, Telemedicine.

Abstract

OBJECTIVE

To reduce pathogen exposure, conserve personal protective equipment, and facilitate health care personnel work participation in the setting of the COVID-19 pandemic, three affiliated institutions rapidly and independently deployed inpatient telemedicine programs during March 2020. We describe key features and early learnings of these programs in the hospital setting.

METHODS

Relevant clinical and operational leadership from an academic medical center, pediatric teaching hospital, and safety net county health system met to share learnings shortly after deploying inpatient telemedicine. A summative analysis of their learnings was re-circulated for approval.

RESULTS

All three institutions faced pressure to urgently standup new telemedicine systems while still maintaining secure information exchange. Differences across patient demographics and technological capabilities led to variation in solution design, though key technical considerations were similar. Rapid deployment in each system relied on readily available consumer-grade technology, given the existing familiarity to patients and clinicians and minimal infrastructure investment. Preliminary data from the academic medical center over one month suggested positive adoption with 631 inpatient video calls lasting an average (standard deviation) of 16.5 minutes (19.6) based on inclusion criteria.

DISCUSSION

The threat of an imminent surge of COVID-19 patients drove three institutions to rapidly develop inpatient telemedicine solutions. Concurrently, federal and state regulators temporarily relaxed restrictions that would have previously limited these efforts. Strategic direction from executive leadership, leveraging off-the-shelf hardware, vendor engagement, and clinical workflow integration facilitated rapid deployment.

CONCLUSION

The rapid deployment of inpatient telemedicine is feasible across diverse settings as a response to the COVID-19 pandemic.

DOI: 10.1093/jamia/ocaa077
PubMed: 32495830
PubMed Central: PMC7314045

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000652
to stream Main, to step Curation: 000652

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academic Medical Centers (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>California (MeSH)</term>
<term>Computers, Handheld (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Hospitals, County (MeSH)</term>
<term>Hospitals, Pediatric (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Inpatients (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Safety-net Providers (MeSH)</term>
<term>Teaching Rounds (MeSH)</term>
<term>Telemedicine (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (MeSH)</term>
<term>Californie (MeSH)</term>
<term>Centres hospitaliers universitaires (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hôpitaux du comté (USA) (MeSH)</term>
<term>Hôpitaux pédiatriques (MeSH)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Ordinateurs de poche (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Patients hospitalisés (MeSH)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Professionnels du filet de sécurité sanitaire (MeSH)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle)</term>
<term>Télémédecine (MeSH)</term>
<term>Visites d'enseignement clinique (MeSH)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
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<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" xml:lang="en"><term>Academic Medical Centers</term>
<term>Betacoronavirus</term>
<term>COVID-19</term>
<term>Computers, Handheld</term>
<term>Hospitals, County</term>
<term>Hospitals, Pediatric</term>
<term>Humans</term>
<term>Inpatients</term>
<term>Pandemics</term>
<term>SARS-CoV-2</term>
<term>Safety-net Providers</term>
<term>Teaching Rounds</term>
<term>Telemedicine</term>
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<term>Californie</term>
<term>Centres hospitaliers universitaires</term>
<term>Humains</term>
<term>Hôpitaux du comté (USA)</term>
<term>Hôpitaux pédiatriques</term>
<term>Ordinateurs de poche</term>
<term>Pandémies</term>
<term>Patients hospitalisés</term>
<term>Professionnels du filet de sécurité sanitaire</term>
<term>Télémédecine</term>
<term>Visites d'enseignement clinique</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To reduce pathogen exposure, conserve personal protective equipment, and facilitate health care personnel work participation in the setting of the COVID-19 pandemic, three affiliated institutions rapidly and independently deployed inpatient telemedicine programs during March 2020. We describe key features and early learnings of these programs in the hospital setting.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Relevant clinical and operational leadership from an academic medical center, pediatric teaching hospital, and safety net county health system met to share learnings shortly after deploying inpatient telemedicine. A summative analysis of their learnings was re-circulated for approval.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>All three institutions faced pressure to urgently standup new telemedicine systems while still maintaining secure information exchange. Differences across patient demographics and technological capabilities led to variation in solution design, though key technical considerations were similar. Rapid deployment in each system relied on readily available consumer-grade technology, given the existing familiarity to patients and clinicians and minimal infrastructure investment. Preliminary data from the academic medical center over one month suggested positive adoption with 631 inpatient video calls lasting an average (standard deviation) of 16.5 minutes (19.6) based on inclusion criteria.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DISCUSSION</b>
</p>
<p>The threat of an imminent surge of COVID-19 patients drove three institutions to rapidly develop inpatient telemedicine solutions. Concurrently, federal and state regulators temporarily relaxed restrictions that would have previously limited these efforts. Strategic direction from executive leadership, leveraging off-the-shelf hardware, vendor engagement, and clinical workflow integration facilitated rapid deployment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The rapid deployment of inpatient telemedicine is feasible across diverse settings as a response to the COVID-19 pandemic.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2021</Year>
<Month>01</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1527-974X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>27</Volume>
<Issue>7</Issue>
<PubDate><Year>2020</Year>
<Month>07</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Journal of the American Medical Informatics Association : JAMIA</Title>
<ISOAbbreviation>J Am Med Inform Assoc</ISOAbbreviation>
</Journal>
<ArticleTitle>Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems.</ArticleTitle>
<Pagination><MedlinePgn>1102-1109</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/jamia/ocaa077</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">To reduce pathogen exposure, conserve personal protective equipment, and facilitate health care personnel work participation in the setting of the COVID-19 pandemic, three affiliated institutions rapidly and independently deployed inpatient telemedicine programs during March 2020. We describe key features and early learnings of these programs in the hospital setting.</AbstractText>
<AbstractText Label="METHODS">Relevant clinical and operational leadership from an academic medical center, pediatric teaching hospital, and safety net county health system met to share learnings shortly after deploying inpatient telemedicine. A summative analysis of their learnings was re-circulated for approval.</AbstractText>
<AbstractText Label="RESULTS">All three institutions faced pressure to urgently standup new telemedicine systems while still maintaining secure information exchange. Differences across patient demographics and technological capabilities led to variation in solution design, though key technical considerations were similar. Rapid deployment in each system relied on readily available consumer-grade technology, given the existing familiarity to patients and clinicians and minimal infrastructure investment. Preliminary data from the academic medical center over one month suggested positive adoption with 631 inpatient video calls lasting an average (standard deviation) of 16.5 minutes (19.6) based on inclusion criteria.</AbstractText>
<AbstractText Label="DISCUSSION">The threat of an imminent surge of COVID-19 patients drove three institutions to rapidly develop inpatient telemedicine solutions. Concurrently, federal and state regulators temporarily relaxed restrictions that would have previously limited these efforts. Strategic direction from executive leadership, leveraging off-the-shelf hardware, vendor engagement, and clinical workflow integration facilitated rapid deployment.</AbstractText>
<AbstractText Label="CONCLUSION">The rapid deployment of inpatient telemedicine is feasible across diverse settings as a response to the COVID-19 pandemic.</AbstractText>
<CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vilendrer</LastName>
<ForeName>Stacie</ForeName>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Patel</LastName>
<ForeName>Birju</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Stanford Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chadwick</LastName>
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Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems.

Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems.

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